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NPI Code Detail

MEDICARE: VALENCEIA TWITTY

MEDICARE: VALENCEIA TWITTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse164039.MEDS-IVOH

General Provider Information

NPI Number : 1841842218
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALENCEIA TWITTY
Provider Business Mailing Address
First Line : 1114 E 77TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-2008
Country : US
Telephone Number : 216-849-9908
Fax Number : 216-586-6607
Provider Business Practice Location Address
First Line : 1114 E 77TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-2008
Country : US
Telephone Number : 216-849-9908
Fax Number : 216-586-6607
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2019
Last Update Date : 07/15/2019

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Directions to “ VALENCEIA TWITTY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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